Organization
WHITE CLOUD HOME CARE SERVICES
Active
Other names
White Cloud Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRA KAHLIAH JOHNSON (OWNER)
(260) 254-2002
Entity
Organization
Contact information
Practice address
7823 PRESTON POINTE DR, FORT WAYNE, IN 46804-5705
(260) 254-2002
Mailing address
7823 PRESTON POINTE DR, FORT WAYNE, IN 46804-5705
(260) 205-4408
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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